| Dr Pamela S Jacobs, PHD | |
| 
					1616 Cornwall Ave Ste 205, Bellingham, WA 98225-4642  | |
| (360) 676-6177 | |
| (360) 671-3574 | 
| Full Name | Dr Pamela S Jacobs | 
|---|---|
| Gender | Female | 
| Speciality | Psychologist | 
| Location | 1616 Cornwall Ave Ste 205, Bellingham, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366462418 | NPI | - | NPPES | 
| 2025952 | Medicaid | WA | |
| 500655828 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1142 (Oregon) | Secondary | 
| 103T00000X | Psychologist | PY61247572 (Washington) | Primary | 
| Entity Name | Unity Care Northwest | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760430532 PECOS PAC ID: 7911897699 Enrollment ID: O20040317000365  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Pamela S Jacobs, PHD 1776 Sw Madison St, Portland, OR 97205-1715 Ph: (503) 224-1044  | Dr Pamela S Jacobs, PHD 1616 Cornwall Ave Ste 205, Bellingham, WA 98225-4642 Ph: (360) 676-6177  | 
Patricia A Marek, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1201 11th Street Suite 201, Bellingham, WA 98225 Phone: 360-647-2808 Fax: 360-752-0037  | |
Dr. Steve Call, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 801 Samish Way, Bellingham, WA 98229 Phone: 425-753-3547  | |
Kathryn Oost, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1140 10th St Ste 203, Bellingham, WA 98225 Phone: 360-603-0518  | |
Nahid Markosian, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12 Bellwether Way, Suite 223, Bellingham, WA 98225 Phone: 360-255-2505 Fax: 360-255-2504  | |
Dr. Thomas Christopher Portman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1118 Finnegan Way, Suite 104, Bellingham, WA 98225 Phone: 360-733-4502 Fax: 360-733-7594  | |
Dr. Cara Joann Anderson, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1155 N State St, Bellingham, WA 98225 Phone: 360-255-2505 Fax: 360-255-2504  | |
Dr. Susan D. Kane-ronning, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1117 Ellis St, Bellingham, WA 98225 Phone: 360-714-8109 Fax: 360-756-8936  |